1 INTRODUCTION Chronic low back pain is the pain in the lower back area for longer than 3 months created by injury, disease or stress. It may include the pain in bone, nerve and muscle. The quality of pain may be aching, burning, stabbing, or tingling, sharp or dull and well defined or vague (Akuthota, Baker, & Danisa, 2009). It is a most common problem all over the world and the age group 40 to 80 years (D. G. Hoy et al., 2012). A lot of research showed that the major reason for chronic low back pain is sedentary stressful and modern hurry and worry lifestyle. It is a serious effect on the psycho-social and physiological honesty of the person (Gautschi et al., 2009). It is also defined as pain and discomfort which is situated below the costal …show more content…
They are: (1) Clinicians should conduct a focused history and physical examination to help place patients with low back pain, nonspecific low back pain, back pain potentially associated with radiculopathy or spinal stenosis. (2) Clinicians should not routinely obtain imaging or others diagnostic tests in patients with nonspecific low back pain. (3) Clinicians should perform diagnostic imaging and test when sever or progressive neurologic deficits. (4) Clinicians should evaluate patients with persistent low back pain and sign and symptom of radiculopathy or spinal stenosis with magnetic resonance imaging (preferred). (5) Clinicians should provide patients with evidence based information on low back pain with regard to their expected course. (6) Clinicians should assess severity of baseline pain and functional deficits. (7) Clinicians should conceder the addition of nonpharmacologic therapy (Roger Chou et al., …show more content…
In this philosophy, there are five “Sheaths” to existence, of which the physical frame is only the first. The second is the vital body that is made up of präëä the life energy that flows through you in invisible channels knows as näòé. The third is the mind (your emotions and thoughts ), the fourth is the higher intellect (perfect thought and knowledge ), and the final sheath is the “abode of bliss” . The bliss sheath is though to consist of positives energy that is associated with the divine. It is form this sheath that the inner peace essentioal to true happiness emanates. The concept is the basis and ground for the yoga module. Disease is seen to arise through imbalance in any of the three lower sheaths of existence. In physical , präëä and mind sheaths , ego consciousness, which is centered around the self, predominates and therefore harmony in sheaths can be easily distrubed. So we need to understanad fourth and fifth sheaths to control over health and happiness physicaliy and mentally
Pain radiates from the lower back and aggravated by bending, getting in and out of the car, lifting, reciprocating stairs, sitting, standing, turning, twisting and walking which is mildly alleviated by over-the-counter drugs and
QEP Scripts for Two Recordings – Audio for Musculoskeletal System; “OK, Team! We have a new patient in Room 3B who is being admitted with a progressive (gradual, advancing) decrease in mobility (movement) of his back and legs, and increase in pain located in the lumbosacral (lower back above the tailbone of the spine) area. The patient’s Primary Care Provider has sent along Computed Tomography scans (CT, a rotating x-ray emitter, detailed internal scanner) showing spinal stenosis (narrowing of the spine causing pressure on the nerves and spinal cord causing lower back pain.) and decrease of the normal lordosis (abnormal curvature lower spine, excessive inward curvature of the spine) in the thoracic vertebrae (upper and middle back). Lumbosacral
He denied current and past use of illicit drugs or substances. He consumes 3 to 4, 500 ml bottles of caffeinated soft drinks per week. On admission, Mr. Fountain complained of low back pain, ranging in intensity between 7 and 10, on a pain scale where 0 is no pain and 10 is the worst possible pain. He subjectively described this pain as a constant ache that permeates down into both legs, anteriorly and posteriorly, but can be stabbing, sharp, and burning at times. Sitting, standing, walking or lying down for prolonged periods of time can aggravate his back pain, while treatment modalities such as medications,
Range of motion revealed flexion of 90 degrees, extension of 15 degrees; with forward bending the patient can reach mid shins. Straight leg raise is negative at 70 degrees. Per assessment and plan, patient is a status post left approach L2-3 and L3-4 Lateral lumbar interbody fusion on 7/22/14 and have a chronic mechanical low back pain status post multiple lumbar spine surgeries. Currently, patient has solid fusion at 2-3, 3-4, 5-1 and open L4-5 segment. L4-5 is suspected to be a significant pain generator.
Long term goals include a return to his prior level of functioning including full duty work as well as safely perform all activities of daily living. Assessments include cervical spine strain/sprain, rule-out disc herniation and left shoulder strain/sprain. The patient will begin physical therapy three days per week where he will receive moist heat, cold packs, and ultrasound treatment to the cervical paraspinals and left shoulder, electrical stimulation treatment to the left shoulder, massage treatment for the cervical spine, range of motion and strengthening exercises for the cervical spine and left shoulder, with the goals of reducing pain, improving range of motion, and improving overall function.
In this crosspost, the author will elaborate on the original threaded discussion by Ellerbee Mburu, Vail, and Barlow and add additional information on pain assessment and management. Healthcare providers are the major group of healthcare professional who perform crucial functions in delivering and providing nursing care to inpatient and outpatients. As mentioned in the threaded discussion by Ellerbee, Mburu, Vail, and Barlow, undertreated pain causes unnecessary distress and negatively affects the quality of life. In additional to the original threaded discussion, pain is a factor that is thought of differently by many. It has been added as the fifth vital sign and is considered to be subjective.
The Atlanta Back Clinic is a full-service physical therapy facility that is located in Tucker, Georgia. The Atlanta Back Clinic was established in 1975. Their treatment options include manipulation/mobilization, myofascial release, soft tissue mobilization, cupping, neuromuscular re-education, mobilization of the nervous system/neurodynamics, postural re-education, therapeutic exercise and individualized exercise plans, etc. Their other treatment options include functional performance evaluations and body mechanics training, gait training, ergonomic assessments, dry needling, craniosacral, Feldenkrais, and Hellerworks. The Atlanta Back Clinic offers its individual treatment, training and fitness center, patient education booklet, on-line patient
Providers may have limited time so they rely on the nurses to recognize the requirements for different pain medication and recommend what medications have worked for the patients in the past. Additionally, becoming comfortable with SBAR will help build confidence when communicating with other medical staff members. Communicating with other medical staff members is very important, but recognizing pain in a patient is of more importance. Early identification of pain in a post-surgical patient is important in overall pain management.
Another category of musculoskeletal pain disorder is lower limb disorders which include injury and disorders from hips to toes. Possibly the most common MSD is back pain. MSDs can affect the body's muscles, joints, tendons, ligaments, and nerves. Most work-related MSDs develop over time and are caused either by the work itself or by the employees' working environment. They can also result from fractures sustained in an accident.
Give the doctor as much information as you can about what might have caused your pain. Did you injure yourself? Did your pain begin when you had an illness? Do you have a job or hobby that causes muscle strain or nerve injury through repetitive motion? How long have you been in
Background: Low back pain (LBP) is common among office workers and is the most common cause of workrelated disability in people under 45 years of age. The aetiology of LBP is widely accepted to be multi-factorial. Prognostic research into office workers at risk of developing LBP has received limited attention. The aims of this study were to develop a risk score to identify office workers likely to have LBP and to evaluate its predictive power.
INTRODUCTION Pain is primarily a psychological experience. It is the most pervasive and universal form of human distress and it often contributes to dramatic reductions in the quality of life. Episodes of pain can vary in magnitude from events that are mundane, but commonplace, to crises that are excruciating, sometimes intractable and not so common,
CLINICAL FEATURES The term BMS refers to chronic pain condition in absence of any visible mucosal abnormality or organic disease. It is defined by symptoms that persist for a long time. The pain episodes usually occur continuously for at least 4-6months and may last for 12 years or more with an average duration of 3.4years. The most common complaint is unremitting oral mucosal pain in association with dysgeusia and xerostomia.
They were evaluated for pain using Numerical Pain Rating Scale (NPRS) and the forward head posture was assessed by measuring CV angle. The total duration of the study was 6 months. Analysis was done using SPSS Version 20. Results: Spearman’s correlation test was used to find correlation between CV angle and neck pain and the r value was found to be -0.731 with the level of significance 0.01. Conclusion: A moderate to good negative correlation was found between CV angle and neck pain.
Disorders in the lower back are often correlated to lifting and carrying of loads. Upper-limb disorders (at fingers, hands, wrists,